of F553 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025201
Every F553 citation surveyors wrote nationally that year.
Facilities cited198
Distinct nursing homes with at least one F553 finding.
The harm level
How severely F553 is cited
0.3% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J—
K—
L—
Actual harm
G20.3%
H—
I—
No harm, potential for more than minimal
D61279.7%
E13417.4%
F101.3%
No harm, potential for minimal
A—
B81.0%
C20.3%
Every recorded F553 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F553 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
G · Actual harm, isolatedMarch 14, 2025
Based on observation, interview and record review, the facility failed to allow one resident (Resident #4) to participate in his/her own plan of care, when the resident was placed in a secured/locked unit based solely on his/her history of justice involvement. This failure did not support the resident's goals, choices, and preferences. This practice affected one resident who was admitted into the facility and immediately placed on the secured unit due to his/her status as a sex offender (Resident #4). The resident was described as being visibly upset when he/she got to the facility. The resident stated he/she did not want to come to this facility, and no one asked or provided him/her any paperwork. …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on review of review of facility policies and clinical records, and resident and staff interviews, it was determined that the facility failed to ensure that the resident and/or resident representative was offered the opportunity to participate in the development, review, and/or revision of their person-centered care plan for one of 24 residents reviewed (Resident R31).Findings include: Facility policy dated 7/7/26, entitled Care Planning - Interdisciplinary Team revealed The IDT (interdisciplinary team) includes but is not limited to.the resident and/or the resident's representative. …
B · No harm, potential for minimal, patternMay 13, 2025
Based on interviews, record and policy review for 1 of 3 residents (Resident #40) sampled for nutrition, the facility failed to include a resident in the participation of the development and implementation of his or her person-centered plan of care. The findings include:
Resident #40 was admitted to the facility in April 2025 with diagnoses that included dysphagia, aphasia, and Type 2 diabetes mellitus.
The baseline Resident Care Plan (RCP) dated 4/19/25 identified Resident#40 had a decline in intellectual functioning characterized by a deficit in memory, judgement, decision making and thought process related to altered mental status. …
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Cited in the same inspection, not caused by one another.
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